Supplementary tables

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Atypical glandular cells. AGC. M69720. Low-grade squamous intraepithelial lesion. LSIL. Atypical squamous cells of undetermined significance ASCUS ... event counts, incidence rates and incidence rate ratios for incident cervical cancer (allĀ ...
Appendix 1: Supplementary tables [as supplied by author] Table A: SNOMED codes for cytological diagnoses in the study, defined by Swedish Association for Clinical Cytology Cytological diagnosis

Abbreviation

SNOMED code

Normal cytology

--

M00110

Atypical glandular cells

AGC

M69720

Low-grade squamous intraepithelial lesion

LSIL

Atypical squamous cells of undetermined significance

ASCUS

M69710

Mild squamous dysplasia

LSIL

M74006

High-grade squamous intraepithelial lesion

HSIL

Suspected high-grade squamous dysplasia

ASC-H

M69719

Moderate squamous dysplasia

HSIL

M74007

Severe squamous dysplasia

HSIL

M80702

Squamous cell cancer

SCC

M80703

Table B: Age-specific event counts, incidence rates and incidence rate ratios for incident cervical cancer (all histopathologies) following HSIL and LSIL, by follow-up time Age at abnormality HSIL vs Normal Age 23-29 Age 30-39 Age 40-49 Age 50-59 LSIL vs Normal Age 23-29 Age 30-39 Age 40-49 Age 50-59 a. b. c.

0.5 to 3.5 years Na IRb

IRR (95%CI) c

3.5 to 6.5 years N IR IRR (95%CI)

6.5 to 10.5 years N IR IRR (95%CI)

10.5 to 15.5 years N IR IRR (95%CI)

38 76 45 19

58.2 123.6 145.4 139.3

7.1 (5.5 to 9.2) 14.0 (11.5 to 17.2) 18.3 (14.5 to 23.2) 24.1 (17.9 to 32.4)

9 19 18 12

16.4 36.6 69.0 103.5

2.8 (2.0 to 3.9) 5.5 (4.1 to 7.4) 7.2 (5.2 to 9.9) 9.4 (6.5 to 13.6)

19 27 16 10

31.4 47.9 55.3 78.1

3.2 (2.4 to 4.3) 6.3 (4.8 to 8.2) 8.2 (6.1 to 11.1) 10.8 (7.6 to 15.3)

16 23 13 11

29.0 45.0 48.3 97.8

3.1 (2.3 to 4.3) 6.1 (4.6 to 8.1) 8.0 (5.9 to 10.9) 10.5 (7.3 to 15.1)

82 141 85 39

32.4 78.1 60.8 47.4

4.6 (3.9 to 5.4) 9.6 (8.3 to 11.0) 6.7 (5.7 to 8.0) 5.9 (4.7 to 7.4)

43 87 41 22

21.0 57.8 35.0 31.3

3.1 (2.6 to 3.8) 6.5 (5.5 to 7.7) 4.6 (3.8 to 5.6) 4.0 (3.2 to 5.1)

61 79 36 16

28.4 49.4 28.4 21.0

2.9 (2.4 to 3.5) 6.1 (5.2 to 7.2) 4.3 (3.5 to 5.3) 3.8 (3.0 to 4.8)

61 55 31 21

32.8 39.1 27.2 33.7

3.0 (2.5 to 3.6) 6.2 (5.2 to 7.4) 4.4 (3.6 to 5.4) 3.8 (3.0 to 4.9)

Number of cervical cancer cases Observed incidence rate, per 100 000 person-years Incidence rate ratio and 95% confidence interval, relative to women with normal cytology, adjusted for attained age

Table C: Percentage of histology assessment, prevalent and incident cervical cancer (all histopathologies) by abnormality and calendar period N of abnormality

AGC 1980-1992 1993-1997 1998-2002 2003-2007 2008-2011 HSIL 1980-1992 1993-1997 1998-2002 2003-2007 2008-2011 LSIL 1980-1992 1993-1997 1998-2002 2003-2007 2008-2011 a. b. c.

Histology assessment in six months % p-value for trend

Prevalent cancer

Incident cancer 0.5 to 3.5 years

N

%a

N

Crude IRb

p-value for trend

3937 3085 3048 2786 1769

31.3c 46.3 49.5 59.4 65.3